BENZALKONIUM CL 0.2%/BENZOCAINE 18% LIQUID,DENT (7382) VA PRODUCT (50.68)

Name	Value
NAME	BENZALKONIUM CL 0.2%/BENZOCAINE 18% LIQUID,DENT
VA GENERIC NAME	BENZALKONIUM CHLORIDE/BENZOCAINE
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	BENZOCAINE STRENGTH: 18 UNITS: % BENZALKONIUM CHLORIDE STRENGTH: 0.2 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	BENZALKONIUM CHLORIDE/BENZOCAINE LIQUID
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	BENZALKONIUM CL 0.2/BENZOCAINE 18% LIQ
VA PRODUCT IDENTIFIER	B0083
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4007887
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE